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Background: Hypospadias is one of the most common congenital abnormalities of the male genito-urinary system. The main goal in surgery is to attain cosmetic and functional correction. Hypospadias repair should be done with minimal complications. Duckett innovated meatal advancement and glanuloplasty (MAGPI) procedure and was applied for correction of this lesion.
Objectives: Evaluation of Mercedes Benz incision as a modification of the MAGPI procedure for repair of distal hypospadias with mobile meatus.
Paitents and Methods: Forty five children with distal hypospadias and mobile meatus were operated on using this technique. Mean age of patients was 2 ± 4.2 year (1-10) years.
Results: Patients were discharged home after 3 days. The operation resulted in a slit-like urethral meatus. Follow-up was done for 6 months. Good cosmetic and functional results were obtained in 44 patients (97.78%). One patient (2.22%) had mild meatal stenosis that corrected by frequent dilation. Complication occurred in one patient (2.22%) who suffered from dehiscence of the wound and retraction of the meatus. The meatal retraction was corrected using circum-meatal urethral advancement technique.
Conclusion: Mercedes Benz incision as a modification of the MAGPI procedure was feasible and suitable for appropriately selected cases with distal hypospadias and mobile meatus. It provides a cosmetically natural vertical slit-like urethral meatus at the tip of the glans.
Keywords
distal hypospadias, MAGPI procedure, Mercedes Benz incision, congenital abnormalities
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Department of surgery, (Pediatric Surgery Unit), Faculty of Medicine - Al-Azhar University
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Department of Urology, Faculty of Medicine - Al-Azhar University
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https://amj.journals.ekb.eg/article_55584.html
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Al-Azhar Medical Journal
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https://amj.journals.ekb.eg/
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